Individual
MRS. ANTONIA GENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2811 W CALIFORNIA AVE, FRESNO, CA 93706-2306
(559) 493-4544
Mailing address
880 E SALEM AVE, FRESNO, CA 93720-2128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1091076
CA
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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